HomeMy WebLinkAbout041010 - Electric (pool) (!z-
CITY OF OSHKOSH N'o _ 41010
*/ PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS
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lAf'1i _-e-- PLAN NO.
OWNER LZ(Z---/ 4% ZZ-u",
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR i r' ,d�,�'i .9 G`' _
Electric Serv. New ❑ cfiange ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay —.Sh —DW _DF San. Sewer
_WC _FDr -SP —Ur Storm Sewer
_Sink _LTub Eject —SS Water
Other
FEES: Valuation $
lied'd 0 Permit Fee Paid $ /S `�° Park Dedication $
ISSUED BY ?✓( (4 'Zi'' Date 061C'Y` Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AGENT/OWNER DATE
ADDRESS TELEPHONE#
PERMIT NO, Off D 1
APPL� DATA
ELEC, CONTR,
OWNER G tZetz..c,_
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ADDRESS /3 Z /Me-- /
NATURE OF WORK 9
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX' S SW'S RECEPT' S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL
EST. COST ?- ,' PERMIT FEE /S.-too DATE PDZSf'/c-
RE • -KS
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